Look who’s taken over Diabetogenic again! Grumps is back to share some wisdom about how he deals with hypos.
We know that when it comes to diabetes, there is the advice we’re given by HCPs. And then there is real life. I wrote about my ’reality versus what I was told’ when it comes to lows a few years ago, and today, Grumps is sharing his wisdom in the latest instalment of #WWGD.
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About ninety mins after lunch today my BG started to drop.
It was a nice slow decline so having checked my insulin on board I decided to do bugger all about it and see what happened.
It kept on its slow decent until at about 6.0 mmol/l the carbs on board stalled and it decided to do an impression of a flying hippo and dropped like a stone.
What’s the advice for treating hypos?….
- 15g carbs
- Wait 15 minutes
- BGL check
- If “blah, blah, blah”……
Load of bollocks!
Hypo hunger kicks in.
So……
- 4 Twix bars
- 2 Twirl bars
- A pre-emptive bolus and…..
- Falling asleep on the toilet and waking myself snoring….
I land at 8.6mmol/l just in time for dinner!
Live Long and Bolus
Grumps
Want more from The Grumpy Pumper? Of course you do! Check out his blog here. And follow him on Twitter here.
Grumps in Vienna
Diabetogenic 
3 comments
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April 26, 2018 at 1:03 pm
Rick Phillips
One thing that I have seen since starting the 670g is that 15 grams is often to much. The theory is that since the pump shuts off on the way down, I need less glucose on the way up. Now that is a real benefit.
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April 26, 2018 at 1:33 pm
G.M. Bunyan
Thanks Renza for introducing practical reality into the discussion and giving Grumps his head. As usual he was practical, pithy, straightforward and to point (is he ever anything else?). A very nice lesson. We’ll be forever grateful to him for his experiment and volunteering as his own laboratory mouse.
We’ll all handle this slightly differently of course – I for one am not a big fan of Twix and I don’t know what a Twirl is, but I’m sure Grumps will introduce some innuendo here.
It also raises a question for HCPs and educators: are they telling the right story? Of course, most suffer from a very real disadvantage and one for which I have real sympathy: they have no actual experience of having and dealing with a hypo.
I do love Grumps’s reference to “hypo hunger kicking in”. In 40+ years of T1 I’ve never had anyone talk to me about it. Its real and even when ones brain is working half well again, there’s little you can/want to do about it – and those helping you don’t either!
So is it better to be talking about managing the bolus?
And another thing that people new to insulin should be aware of: the experienced person with diabetes who forgets his (probably is more often men) own failings! I’ve been lectured to by other people with T1 about not eating too much during a hypo. Great in theory! So beware the HCP with no experience, and the PWD with a poor memory! Beware of me!
Chrz
Gordon
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April 26, 2018 at 9:18 pm
G.M. Bunyan
Hey Renza As usual I tried to post a comment but I’m not sure it got through. I’m hopeless but I kept a copy after my first attempt was lost completely! Chrz Gordon
Sent from my iPhone
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